Santa Clara County Protocol Test
Verified 2024
13. ALS can handoff to BLS if ALS interventions are performed?
14. County communication is the only authority that can authorize helicopters at an
emergency scene?
15. Once transporting, a competent adult patient can only leave the ambulance at the
nearest ED?
16. Who has jurisdiction for handling dead bodies if patient dies in their home? -
ANSWER-Answer: False
Answer: True
Answer: False, if they demand to leave the ambulance crew should pullover when safe.
Answer: Fire or PD (if on scene)
17. Major trauma victims can be transported to out of county hospitals
18. BLS ambulance can transport an emergent patient if - ANSWER-Answer: False,
MTV's can't leave the county
Answer: if on scene to ED time is less than 10 minutes, advise county communications,
request a county EMS even number
If BLS ambulance is dispatched to a call with ALS first response unit, and ALS unit
aren't available, the medic will take his equipment and ride in the BLS unit.
4 Criteria for sepsis (and how many do you need?) - ANSWER-Need 2 of the following
- Pulse >90
- Systolic <90
- Temp < 96 or >100.4
- Respirations >20
- Must also have suspicion of infection
5. A physician at the scene can or cannot provide direction?
6. Update on EMS policies may be available through all except
7. EMS chief can do everything except?
,8. What is the age for a child trauma to be considered an adult? - ANSWER-Answer:
they cannot provide medical direction.
Answer: mailed hard copy
Answer: Investigate authority or jurisdiction of the incident (over locals)
Answer: 15 years+
9. What is the indication for a CAT?
10. Know the 3 trauma catchment zones
11. A victim can be designated as a major trauma victim or minor trauma victim T/F
12. ALS can handoff to BLS in an MCI? - ANSWER-Answer: uncontrollable hemorrhage
Northwest = Stanford
Southwest = VMC
East = Regional medical center of SJ
Answer: False
Answer: True
911 calls in SCC - ANSWER-- Landline goes to nearest public safety answering point
for jurisdiction
- Cell phone may be routed to highway patrol dispatch who will determine which public
safety ansering point jurisdiction call belongs
- 911 call takers confirms location and nature of call
- After enough information has been gathered, info is sent to primary dispatch er who
assigns appropriate resources.
A 911 ambulance can only leave the county for two reasons - ANSWER-Multi-casualty
incident, or a search
A BLS ambulance can only upgrade code 3 (lights and sirens) in what situation -
ANSWER-For a critical patient, if the amount of time from arriving on scene to delivering
patient to ER is less than 10 minutes
- in all other cases the non-emergency ambulance crew shall contact county
communications by radio and request a 911 ALS paramedic response
, - If the patient is transported with red lights and sirens (RLS) the unit shall immediately
advise County Communications and request a County EMS Event number.
A legal representative: - ANSWER-An adult with whom a minor lives with, who is a
spouse, stepparent, brother, sister, stepbrother, stepsister, half-brother, or half-sister of
a minor.
Persons not legally able to refuse care:
- An adult who is not competent
- A legal representative who is not competent
- A minor who is not legally able to make medical decisions
- A minor who is legally competent to make medical decisions but is not competent
- A person who is suicidal. Attempted or threatened suicide and must be recent and
related to the call.
- A person that is on a California welfare and institution code section 5150 psychiatric
hold
A stroke patient should be transported to a comprehensive stroke center if ----- (time
frame, how many BEFAST signs) - ANSWER-If has been 3.5-5 hours since patient was
last seen normal, patient has at leas 1 BEFAST symptom, and patient has not had
seizure.
A stroke patient should be transported to a primary stroke center if --- (time frame, how
many BEFAST signs) - ANSWER-It has been <3.5 hours or >5hrs since patient was last
seen normal.
Additional information: - ANSWER-
Adult MTV - physiologic criteria - ANSWER-- GCS less than 14
- Systolic BP less than 90
- Resp rate less than 10 or greater than 29 per min
Ambulance - ANSWER-55 dedicated blue with reflective yellow
opticon in center for light control
Howler that plays over siren
Park in red zones
Loud speaker
Metal protective band on bottom
Cameras on dash and back up cam
Verified 2024
13. ALS can handoff to BLS if ALS interventions are performed?
14. County communication is the only authority that can authorize helicopters at an
emergency scene?
15. Once transporting, a competent adult patient can only leave the ambulance at the
nearest ED?
16. Who has jurisdiction for handling dead bodies if patient dies in their home? -
ANSWER-Answer: False
Answer: True
Answer: False, if they demand to leave the ambulance crew should pullover when safe.
Answer: Fire or PD (if on scene)
17. Major trauma victims can be transported to out of county hospitals
18. BLS ambulance can transport an emergent patient if - ANSWER-Answer: False,
MTV's can't leave the county
Answer: if on scene to ED time is less than 10 minutes, advise county communications,
request a county EMS even number
If BLS ambulance is dispatched to a call with ALS first response unit, and ALS unit
aren't available, the medic will take his equipment and ride in the BLS unit.
4 Criteria for sepsis (and how many do you need?) - ANSWER-Need 2 of the following
- Pulse >90
- Systolic <90
- Temp < 96 or >100.4
- Respirations >20
- Must also have suspicion of infection
5. A physician at the scene can or cannot provide direction?
6. Update on EMS policies may be available through all except
7. EMS chief can do everything except?
,8. What is the age for a child trauma to be considered an adult? - ANSWER-Answer:
they cannot provide medical direction.
Answer: mailed hard copy
Answer: Investigate authority or jurisdiction of the incident (over locals)
Answer: 15 years+
9. What is the indication for a CAT?
10. Know the 3 trauma catchment zones
11. A victim can be designated as a major trauma victim or minor trauma victim T/F
12. ALS can handoff to BLS in an MCI? - ANSWER-Answer: uncontrollable hemorrhage
Northwest = Stanford
Southwest = VMC
East = Regional medical center of SJ
Answer: False
Answer: True
911 calls in SCC - ANSWER-- Landline goes to nearest public safety answering point
for jurisdiction
- Cell phone may be routed to highway patrol dispatch who will determine which public
safety ansering point jurisdiction call belongs
- 911 call takers confirms location and nature of call
- After enough information has been gathered, info is sent to primary dispatch er who
assigns appropriate resources.
A 911 ambulance can only leave the county for two reasons - ANSWER-Multi-casualty
incident, or a search
A BLS ambulance can only upgrade code 3 (lights and sirens) in what situation -
ANSWER-For a critical patient, if the amount of time from arriving on scene to delivering
patient to ER is less than 10 minutes
- in all other cases the non-emergency ambulance crew shall contact county
communications by radio and request a 911 ALS paramedic response
, - If the patient is transported with red lights and sirens (RLS) the unit shall immediately
advise County Communications and request a County EMS Event number.
A legal representative: - ANSWER-An adult with whom a minor lives with, who is a
spouse, stepparent, brother, sister, stepbrother, stepsister, half-brother, or half-sister of
a minor.
Persons not legally able to refuse care:
- An adult who is not competent
- A legal representative who is not competent
- A minor who is not legally able to make medical decisions
- A minor who is legally competent to make medical decisions but is not competent
- A person who is suicidal. Attempted or threatened suicide and must be recent and
related to the call.
- A person that is on a California welfare and institution code section 5150 psychiatric
hold
A stroke patient should be transported to a comprehensive stroke center if ----- (time
frame, how many BEFAST signs) - ANSWER-If has been 3.5-5 hours since patient was
last seen normal, patient has at leas 1 BEFAST symptom, and patient has not had
seizure.
A stroke patient should be transported to a primary stroke center if --- (time frame, how
many BEFAST signs) - ANSWER-It has been <3.5 hours or >5hrs since patient was last
seen normal.
Additional information: - ANSWER-
Adult MTV - physiologic criteria - ANSWER-- GCS less than 14
- Systolic BP less than 90
- Resp rate less than 10 or greater than 29 per min
Ambulance - ANSWER-55 dedicated blue with reflective yellow
opticon in center for light control
Howler that plays over siren
Park in red zones
Loud speaker
Metal protective band on bottom
Cameras on dash and back up cam
